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hello everybody welcome today iamp;#39;m going to share with you the features of congestive cardiac failure on a chest x-ray now weamp;#39;re going to start by having a look at this normal chest x-ray and i want you to imprint this image on your mind have a look at the costophrenic angles look at the lung fields the pulmonary vasculature the heart size and then we look at images later on in this talk you can think back to this image and notice the differences for yourself now i want to stress before we get started that congestive cardiac failure is a clinical syndrome itamp;#39;s something that we diagnose clinically and we can use radiographic features to supplement that clinical information but weamp;#39;re not going to make the diagnosis on chest x-ray or on ct scan weamp;#39;re going to use these features to help us supplement the clinical picture so congestive cardiac failure is when someoneamp;#39;s heart has either a structural or functional anomaly that renders it unable